Fractional Founding Account Executive — Digital Health

Nexalink is hiring up to three Founding Account Executives to accelerate go-to-market for CareCompass.

This is a fractional, flexible, commission-forward role designed for experienced startup sellers who are not expected to leave an existing full-time position. We anticipate an initial commitment of approximately 5-15 hours per week, with scope increasing only where there is demonstrated pipeline traction and mutual interest.

We welcome candidates based in the United States or Europe. We are particularly interested in people with relationships at European digital-health and health-tech companies that sell into, are expanding into, or are otherwise active in the U.S. healthcare market. Candidates must be able to engage effectively with U.S.-market prospects and participate in a reasonable overlap with U.S. business hours.

Nexalink is a healthcare AI infrastructure-as-a-service company. We build core SDKs and platform capabilities that health-tech companies can integrate into revenue-cycle-management workflows, including medical-coding, prior-authorization, and related operational automation.

CareCompass is designed for health-tech companies that want to embed healthcare AI capabilities into their own products and workflows without building the underlying AI infrastructure from scratch.

We are looking for entrepreneurial sales leaders with startup experience and an active network across digital health, health-tech SaaS, RCM technology, payer and provider technology, or adjacent healthcare-infrastructure companies—especially organizations selling into the U.S. market. This is not a traditional, fully built sales role: you will help create the playbook.

You will identify and qualify the highest-potential customer segments, activate your network, build an early pipeline, secure pilot opportunities, and help turn successful pilots into annual commercial agreements. You will work directly with the founder and technical team to refine positioning, validate our ICP, surface product feedback, and build a repeatable GTM motion.

What you’ll do

• Build and manage a pipeline of health-tech prospects, with an emphasis on companies serving RCM, coding, prior authorization, payer, provider, or healthcare-operations use cases

• Use existing digital-health relationships and targeted outbound prospecting to generate qualified introductions and discovery conversations

• Develop the ICP, buyer personas, value proposition, and qualification criteria alongside the founding team

• Run discovery, communicate CareCompass’s technical and commercial value, and coordinate technical evaluations with Nexalink’s product and engineering team

• Structure and advance pilots, then help convert successful pilots into annual customer contracts

• Maintain disciplined pipeline records, forecast opportunities realistically, and share market feedback that sharpens our product and GTM strategy

• Represent Nexalink credibly with senior product, engineering, operations, RCM, and commercial stakeholders

What we’re looking for

• Experience as a founding AE, early-stage account executive, first sales hire, startup GTM lead, or entrepreneurial healthcare seller

• An existing, active network within digital health or health-tech companies—not simply healthcare provider organizations

• Experience selling enterprise B2B software, APIs, developer platforms, AI products, RCM technology, or healthcare workflow solutions

• Comfort selling an evolving product and translating customer conversations into ICP, product, and messaging improvements

• Strong consultative discovery, outbound prospecting, relationship-building, and deal-advancement skills

• Ability to work independently in a remote, fast-moving startup environment

• Familiarity with medical coding, prior authorization, revenue-cycle management, health-plan technology, or provider operations is strongly preferred

Compensation

This is a fractional, commission-forward contractor engagement—not a conventional full-time salaried AE role. The $60,000–$70,000 salary range shown in the Wellfound compensation fields reflects an estimated annualized compensation equivalent for platform purposes; it is not a guaranteed base salary. Actual compensation is earned through the commission structure below and will depend on closed business.

• 12–15% commission on annual contract value for qualified opportunities you originate that convert from a paid pilot into an annual customer agreement

• Equity participation up to 1%, based on experience, demonstrated contribution, expected scope, and long-term involvement

• Flexible initial commitment of approximately 5–15 hours per week, with an opportunity to expand scope as Nexalink establishes a repeatable GTM motion

Candidates must be able to work with Nexalink without violating any obligations to a current employer, client, or portfolio company. We cannot engage individuals with a direct conflict involving a competing healthcare AI infrastructure, RCM automation, coding, or prior-authorization product.

We are transparent about the stage: we are looking for people motivated by ownership, direct impact, and the chance to build an enduring healthcare AI infrastructure company—not candidates seeking a conventional, fully salaried enterprise-sales environment.

Location: , ,

Salary: 60000 – 70000

Wellfound: Apply Here